Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03228 | Date 18/10/2019 |
| Token No | SM/18-19/7010 18/10/2019 | Serial | 035 |
| Patient Name | Mr. RAMJAN SEKH | Contact No | 7679887949 |
| Address | DEY ST | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||